Rationale, Design, and Methods for Process Evaluation in the Childhood Obesity Research Demonstration Project

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• 作者：Sitara Joseph ; MPH¹ ; Andria M. Stevens ; MPH² ; Tracey Ledoux ; PhD ; RD² ; Teresia M. O'Connor ; MD ; MPH³ ; Daniel P. O'Connor ; PhD² ; Debbe Thompson ; PhD³ ; ^{dit@bcm.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：process evaluation ; childhood obesity ; methods ; reach ; dose ; fidelity
• 刊名：Journal of Nutrition Education and Behavior
• 出版年：2015
• 出版时间：November-December 2015
• 年：2015
• 卷：47
• 期：6
• 页码：560-565.e1
• 全文大小：921 K

文摘

The cross-site process evaluation plan for the Childhood Obesity Research Demonstration (CORD) project is described here.

Design

The CORD project comprises 3 unique demonstration projects designed to integrate multi-level, multi-setting health care and public health interventions over a 4-year funding period.

Setting

Three different communities in California, Massachusetts, and Texas.

Participants

All CORD demonstration projects targeted 2–12-year-old children whose families are eligible for benefits under Title XXI (CHIP) or Title XIX (Medicaid).

Intervention(s)

The CORD projects were developed independently and consisted of evidence-based interventions that aim to prevent childhood obesity. The interventions promote healthy behaviors in children by applying strategies in 4 key settings (primary care clinics, early care and education centers, public schools, and community institutions).

Main Outcome Measure(s)

The CORD process evaluation outlined 3 main outcome measures: reach, dose, and fidelity, on 2 levels (researcher to provider, and provider to participant).

Analysis

The plan described here provides insight into the complex nature of process evaluation for consortia of independently designed multi-level, multi-setting intervention studies. The process evaluation results will provide contextual information about intervention implementation and delivery with which to interpret other aspects of the program.